Dissertation/Thesis
Effect of Computer-assisted Cognitive Behavior Therapy vs Usual Care on Depression Among Adults in Primary Care: A Randomized Clinical Trial
| Τίτλος: | Effect of Computer-assisted Cognitive Behavior Therapy vs Usual Care on Depression Among Adults in Primary Care: A Randomized Clinical Trial |
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| Συγγραφείς: | Wright, Jesse H., Owen, Jesse J., Eells, Tracy D., Antle, Becky F., Bishop, Laura B., Girdler, Renee, Harris, Lesley M., Wright, R. Brent, Wells, Michael J., Gopalraj, Rangaraj, Pendleton, Michael E., Ali, Shehzad |
| Πηγή: | Counseling Psychology: Faculty Scholarship |
| Στοιχεία εκδότη: | Digital Commons @ DU |
| Έτος έκδοσης: | 2022 |
| Θεματικοί όροι: | Psychiatry, Cognitive behavior therapy, Depression, Adults, Computer-assisted therapy, Morgridge College of Education, Counseling Psychology, Behavior and Behavior Mechanisms, Counseling, Medicine and Health Sciences, Mental and Social Health, Psychiatric and Mental Health, Psychiatry and Psychology, Psychology |
| Περιγραφή: | Importance Depression is a common disorder that may go untreated or receive suboptimal care in primary care settings. Computer-assisted cognitive behavior therapy (CCBT) has been proposed as a method for improving access to effective psychotherapy, reducing cost, and increasing the convenience and efficiency of treatment for depression. Objectives To evaluate whether clinician-supported CCBT is more effective than treatment as usual (TAU) in primary care patients with depression and to examine the feasibility and implementation of CCBT in a primary care population with substantial numbers of patients with low income, limited internet access, and low levels of educational attainment. Design, Setting, and Participants This randomized clinical trial included adult primary care patients from clinical practices at the University of Louisville who scored 10 or greater on the Patient Health Questionnaire–9 (PHQ-9) and were randomly assigned to CCBT or TAU for 12 weeks of active treatment. Follow-up assessments were conducted 3 and 6 months after treatment completion. Enrollment occurred from June 24, 2016, to May 13, 2019. The last follow-up assessment was conducted on January 30, 2020. Interventions CCBT included use of the 9-lesson computer program Good Days Ahead, along with as many as 12 weekly telephonic support sessions of approximately 20 minutes with a master’s level therapist, in addition to TAU, which consisted of the standard clinical management procedures at the primary care sites. TAU was uncontrolled, but use of antidepressants and psychotherapy other than CCBT was recorded. Main Outcomes and Measures The primary outcome measure (PHQ-9) and secondary outcome measures (Automatic Thoughts Questionnaire for negative cognitions, Generalized Anxiety Disorder–7, and the Satisfaction with Life Scale for quality of life) were administered at baseline, 12 weeks, and 3 and 6 months after treatment completion. Satisfaction with treatment was assessed with the Client Satisfaction Questionnaire–8. Results The sample ... |
| Τύπος εγγράφου: | Thesis |
| Περιγραφή αρχείου: | application/pdf |
| Γλώσσα: | English unknown |
| Relation: | https://digitalcommons.du.edu/counselingpsychology_faculty/11; https://digitalcommons.du.edu/context/counselingpsychology_faculty/article/1010/viewcontent/wright_2022_oi_211288_1643983819.37108.pdf |
| DOI: | 10.1001/jamanetworkopen.2021.46716 |
| Διαθεσιμότητα: | https://digitalcommons.du.edu/counselingpsychology_faculty/11 https://doi.org/10.1001/jamanetworkopen.2021.46716 https://digitalcommons.du.edu/context/counselingpsychology_faculty/article/1010/viewcontent/wright_2022_oi_211288_1643983819.37108.pdf |
| Rights: | http://creativecommons.org/licenses/by/4.0/ |
| Αριθμός Καταχώρησης: | edsbas.FFBE580 |
| Βάση Δεδομένων: | BASE |
| DOI: | 10.1001/jamanetworkopen.2021.46716 |
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